The Waters of Roan Highlands,LLCCMS ratings, inspections and fines
- Address
- 146 Buck Creek Road, Roan Mountain, TN 37687
- CCN
- 445396
- Ownership type
- For-profit, limited liability company
- Certified beds
- 80
- Residents per day
- 72
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Waters of Roan Highlands,LLC an overall rating of 5 of 5 stars. The last standard survey was on 13 May 2026. The latest survey cycle has 0 health citations. The median for nursing homes in Tennessee is 4. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Carter County median | Tennessee median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 5 | 5.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 6 homes in the county, 303 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Tennessee median |
|---|---|---|---|
| Cycle 1 (latest) | 13 May 2026 | 0 | 4 |
| Cycle 2 | 8 Apr 2025 | 0 | 4 |
| Cycle 3 | No date | 0 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
The CMS record has no health citation for this home in the last three survey cycles.
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Tennessee median | Tennessee average (CMS) |
|---|---|---|---|
| All nurse staff | 3.32 | 3.60 | 3.80 |
| Registered nurses (RN) | 0.38 | 0.50 | 0.60 |
| Licensed practical nurses (LPN) | 1.01 | 1.09 | |
| Nurse aides | 1.93 | 2.12 | |
| All nurse staff, weekends | 2.85 | 3.20 | 3.31 |
- Nurse staff turnover in a year
- 29.2%
- Nurse staff turnover, Tennessee median
- 50.0%
- RN turnover in a year
- 14.3%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 0.4% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.4% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.8% | 15.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- The Waters of Roan Highlands, LLC
- Chain
- Infinity Healthcare Consulting (69 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| A&F Realty LLC | 5% or greater direct ownership interest | 20% | 1 Aug 2016 |
| Gubin Enterprises Limited Partnership | 5% or greater direct ownership interest | 40% | 1 Aug 2016 |
The site shows organisations only. It does not show the names of persons.
Other homes in Carter County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Signature Healthcare of Elizabethton Rehab & Welln | Elizabethton | 5 of 5 | 1 | $0 | 7 May 2025 | |
| Life Care Center of Elizabethton | Elizabethton | 3 of 5 | 7 | $10,036 | 14 Nov 2023 | |
| Ivy Hall Nursing Home | Elizabethton | 5 of 5 | 0 | $0 | 17 Sep 2025 | |
| Hillview Health Center | Elizabethton | 4 of 5 | 3 | $0 | 14 Nov 2023 | |
| Hermitage Health Center | Elizabethton | 5 of 5 | 2 | $0 | 20 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Tennessee Health Facilities Commission: filing a complaintThe complaint page of the State Survey Agency for Tennessee, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Waters of Roan Highlands,LLC (CCN 445396). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-waters-of-roan-highlands-llc-roan-mountain-tn-445396/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Waters of Roan Highlands,LLC last inspected?
- The CMS record has no inspection with a citation in the last three survey cycles. The standard survey before the last one was on 8 Apr 2025.
- Who operates The Waters of Roan Highlands,LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Infinity Healthcare Consulting. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is The Waters of Roan Highlands,LLC a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Tennessee as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.